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KINDRED TRANSITIONAL CARE AND REHAB-ANGEL RIVER

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 5233 ROSEBUD LN City: NEWBURGH Telephone: (812) 473-4761 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: KINDRED NURSING CENTERS LIMITED PARTNERSHIP 680 S FOURTH AVE LOUISVILLE KY 40202 Ownership type: PROFIT Officer(s): MICHAEL BEAN BENJAMIN BREIER LORE BROWNSON WILLIAM ALTMAN KIMBERLY BEACH LANE BOWEN RUSSELL RAGLAND DONALD ROBINSON PAMELA ATHANAS BARBARA BAYLIS MICHAEL BEAL Name of previous owner: N/A Date of last change of ownership: N/A Administrator: LYNN RENEE STEINWACHS Administrator start date: 11/05/2012 License number: 12-011049-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 64 Number of comprehensive care resident rooms with battery operated smoke detectors: 0 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 64 If hard wired and/or wireless smoke detectors are provided in resident's room, do they: (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes (B) Transmit to a central station service - Yes (C) Connect to the health facility's fire alarm system - Yes Person completing form - MIKE STOBAUGH Title - MAINTENANCE DIRECTOR Date form completed - 09/18/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 11/01/2012 NATCEP expires: 10/31/2013 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 02/02/2000 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 120 Total number of comprehensive care beds: 120 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 120 Facility census: 104 as of: 11/20/2012 Results of Surveys Date of last annual health survey: 11/20/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/10/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: C78111 Action - Emergency order ban on admissions Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: C78111 Action - Emergency order placement of monitor Notice to facility: 03/21/2001 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: C78111 Notice to facility: 03/21/2001 Appeal: N/A Action Cease/Recind: N/A Case Closed: 12/18/2001 Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A

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